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与儿童在医院内出现肠内的复发相关的因素
Jing Zhang1, Qi Dong2, Xiaoxia Su1
1Department of General Surgery, Hainan Women and Children's Medical Center, Haikou, 570100, China.
BMC pediatrics
|August 26, 2023
概括
在儿科患者中,1岁以上的儿童,二次内肠接患者和中肠淋巴结扩大患者在空气阴道减少后,在医院内出现肠内肠接的复发风险更高.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术儿科手术小儿科
- 医学诊断 医学诊断 医学诊断
背景情况:
- 肠内是婴儿和幼儿的常见外科紧急情况.
- 一小部分患者在初始治疗后经历了肠接的复发.
- 了解复发因素对于优化患者管理和结果至关重要.
研究的目的:
- 确定与儿科患者在医院内出现肠静脉接的复发相关的临床和人口因素.
- 分析空气阴道减少后复发的风险因素.
- 旨在为临床实践提供信息,并改进对患有肠分泌症的儿童的护理.
主要方法:
- 对624名儿科患者 (0-18岁) 进行了回顾性分析,这些患者接受了肠道内分泌治疗.
- 数据收集包括2019年1月至2019年12月的人口和临床特征.
- 使用后勤回归分析来确定与住院复发相关的因素.
主要成果:
- 总的来说,11.7%的儿童在成功减少气囊后在医院内出现了复发.
- 1岁以上的儿童 (OR:7.65) 的风险明显更高.
- 二次性静脉吸收 (OR: 14.40) 和中腔淋巴结扩大 (OR: 1.90) 也独立地与复发相关.
结论:
- 1岁以上的年龄,二次输肠,中腔淋巴结扩大是医院内复发的重要预测因素.
- 这些发现突出了特定的患者亚组,需要在减肥后进行更密切的监测.
- 识别这些风险因素可以帮助制定有针对性的预防和管理策略.
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